| NPI | 1700836517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD426451) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2008036685) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D24011) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01092949A) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-04-29 |